Conclusions and recommendations of the 'Root-and-branch' review of casemix leading to the modernistation of the national casemix programme in Ireland after 12 years of Casemix in Ireland, a major review

Conclusions and recommendations of the 'Root-and-branch' review of casemix leading to the modernistation of the national casemix programme in Ireland after 12 years of Casemix in Ireland, a major review

Following the recommendations in 1989 of the Commission on Health Funding that hospitals
should be funded based on the patients they actually treat (rather than historical budgets) and
that D.R.G.'s should be used to determine such funding, the National Casemix Programme
was instituted immediately and in 1991 the financial allocations for 15 hospitals included a
small Casemix performance related element. Over the following 12 years the programme has
been expanded incrementally so that now 37 hospitals treating 95% of acute inpatient and
day-case hospital admissions now participate in the national Casemix programme. These
hospitals have budgets in excess of €3bn per annum. Presently, 20% of the activity related
funding for these hospitals is now Casemix performance dependant. Each year the number of
hospitals, the areas within hospitals, and the percentage that is Casemix peer group
performance related, grows.

Following the recommendations in 1989 of the Commission on Health Funding that hospitals
should be funded based on the patients they actually treat (rather than historical budgets) and
that D.R.G.'s should be used to determine such funding, the National Casemix Programme
was instituted immediately and in 1991 the financial allocations for 15 hospitals included a
small Casemix performance related element. Over the following 12 years the programme has
been expanded incrementally so that now 37 hospitals treating 95% of acute inpatient and
day-case hospital admissions now participate in the national Casemix programme. These
hospitals have budgets in excess of €3bn per annum. Presently, 20% of the activity related
funding for these hospitals is now Casemix performance dependant. Each year the number of
hospitals, the areas within hospitals, and the percentage that is Casemix peer group
performance related, grows.

en_GB

dc.language.iso

en

en

dc.publisher

Department of Health (DoH)

en_GB

dc.subject

HOSPITALS

en_GB

dc.subject.other

CASEMIX

en_GB

dc.title

Conclusions and recommendations of the 'Root-and-branch' review of casemix leading to the modernistation of the national casemix programme in Ireland after 12 years of Casemix in Ireland, a major review

en_GB

dc.type

Report

en

All Items in Lenus,the Irish health repository are protected by copyright, with all rights reserved, unless otherwise indicated.